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Original Research

Open Access

Bilateral juvenile fibroadenosis of the breast: management with subcutaneous mastectomy and silicone implant placement

  • Z. Mátrai1,*,
  • G. Gulyás2
  • G. Tizedes3
  • L. Tóth1
  • Z. Langmár4
  • M. Kásler2

1Department of General and Thoracic Surgery, National Institute of Oncology, Budapest, Hungary

2Department of Head and Neck, Laser and Reconstructive Plastic Surgery, National Institute of Oncology, Budapest, Hungary

3Department of Surgery, University of Pécs, Pécs, Hungary

42nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

DOI: 10.12892/ejgo201203309 Vol.33,Issue 3,May 2012 pp.309-311

Published: 10 May 2012

*Corresponding Author(s): Z. Mátrai E-mail: matraidok@freemail.hu

Abstract

Bilateral fibroadenosis is a rare, benign disorder, affecting adolescents or women of childbearing age. Choosing the most optimal therapy that manages both the physical and psychological aspects of the disease is a challenge. The goals of the treatment are complete resection of the lesions with optimal cosmesis. Options range from cryoablation, ultrasound-guided vacuum-assisted eradication and simple excision of the lesions to subcutaneous mastectomy with reconstruction. We present a case of a 25-year-old woman with 37 complex fibroadenomas affecting both breasts who was treated with nipple-sparing subcutaneous mastectomy and silicone implant reconstruction to both the surgeons' and patient's satisfaction.

Keywords

Multiple juvenile fibroadenomas; Fibroadenosis; Subcutaneous mastectomy; Silicone implant

Cite and Share

Z. Mátrai,G. Gulyás,G. Tizedes,L. Tóth,Z. Langmár,M. Kásler. Bilateral juvenile fibroadenosis of the breast: management with subcutaneous mastectomy and silicone implant placement. European Journal of Gynaecological Oncology. 2012. 33(3);309-311.

References

[1] Dolmans G.H., Hoogbergen M.M., van Rappard J.H.: “Giant fibroadenoma of one breast: Immediate bilateral reconstruction”. J. Plast. Reconstr. Aesthet. Surg., 2007, 60, 1156.

[2] Chang D.S., McGrath M.H.: “Management of benign tumors of the adolescent breast”. Plast. Reconstr. Surg., 2007, 120, 13e.

[3] Sklair-Levy M., Sella T., Alweiss T., Craciun I., Libson E., Mally B.: “Incidence and management of complex fibroadenomas”. AJR Am. J. Roentgenol., 2008, 190, 214.

[4] Courtillot C., Chakhtoura Z., Bogorad R., Genestie C., Bernichtein S., Badachi Y. et al., Benign Breast Diseases Study Group: “Characterization of two constitutively active prolactin receptor variants in a cohort of 95 women with multiple breast fibroadenomas”. J. Clin. Endocrinol. Metab., 2010, 95, 271.

[5] Camara O., Egbe A., Koch I., Herrmann J., Gajda M., Baltzer P., Runnebaum I.B: “Surgical management of multiple bilateral fibroadenoma of the breast: the Ribeiro technique modified by Rezai”. Anticancer Res., 2009, 29, 2823.

[6] Silfen R., Skoll P.J., Hudson D.A.: “Florid juvenile (cellular) fibroadenomatosis in the adolescent: a case for subcutaneous mastectomy?”. Aesth. Plast. Surg., 1999, 23, 413.

[7] Povoski S.P.: “The utilization of an ultrasound-guided 8-gauge vacuum-assisted breast biopsy system as an innovative approach to accomplishing complete eradication of multiple bilateral breast fibroadenomas”. World J. Surg. Oncol., 2007, 5, 124.

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